LUANNE M LUNDERGARD (NPI# 1962425652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962425652 |
| Entity Type | Individual |
| Full Name | LUANNE M LUNDERGARD |
| Credential | N.P. |
| Practice Address |
16929 Frances St Ste 103 Omaha NE 68130-4683 |
| Practice Telephone | 4027585821 |
| Practice Fax Number | 4028988380 |
| Mailing Telephone | 4027585821 |
| Mailing Fax Number | 4028988380 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
H070586 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
110483 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025353100 | 05 | |
| NE | RAILROAD MEDICARE | 500020913 | 01 |
| NE | MEDICARE PTAN | 098611097 | 01 |
| NE | BCBS NE | 1962425652 | 01 |
| Street Address |
16929 FRANCES ST STE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-4683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205826989 | John W Pflug | Otolaryngology | 16929 Frances St, Suite 201 Omaha Ear, Nose & Throat Clinic, Omaha, NE 68130-4683 | 2005-10-25 |
| 1184989873 | Mindy R Carr | Nurse Practitioner | 16929 Frances St, Ste 103, Omaha, NE 68130-4684 | 2012-07-09 |
| 1649334913 | Charles J Sprague | Pediatrics | 16929 Frances St, Ste 101, Omaha, NE 68130-4683 | 2006-12-21 |
| 1275697443 | Mara P Paradis | Pediatrics | 16929 Frances St, Ste 101, Omaha, NE 68130-4683 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982006805 | Chelsea Barton | Nurse Practitioner | 18821 Washington St, Omaha, NE 68135-3178 | 2014-09-23 |
| 1063811511 | Tamara Lyn Braley | Nurse Practitioner | 4968 S 188th Ave, Omaha, NE 68135-3520 | 2014-08-21 |
| 1760703037 | Renae G Wortz | Nurse Practitioner | 444 Regency Parkway Dr Ste 104, Omaha, NE 68114-3779 | 2010-06-21 |
| 1891023529 | Tamara L Fischer | Nurse Practitioner | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2009-11-18 |
| 1154456945 | Christine Dimasi Tran | Nurse Practitioner | 988106 Nebraska Medical Ctr, Omaha, NE 68198-8106 | 2007-02-22 |
| 1053329425 | Christine A Karnish | Nurse Practitioner | 810 N 96th St, Suite 201, Omaha, NE 68114-2767 | 2006-08-03 |
| 1285621888 | Kimberly Sue Craig | Nurse Practitioner | 825 N 90th St, Omaha, NE 68114-2702 | 2005-09-29 |
| 1730794595 | Rhonda Kay Clements | Nurse Practitioner | 208 S 26th Ave, Omaha, NE 68131-3622 | 2020-09-09 |
| 1013572486 | Dawnette Lynn Bredberg | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-05-01 |
| 1750861621 | Joseph David Patach | Nurse Practitioner | 7253 Grover St, Omaha, NE 68124-3580 | 2018-08-20 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.